PINE CREEK TRANSPORTATION SERVICE LLC
NPI: 1174723043
· TAYLOR, WI 54659
· Non-emergency Medical Transport (VAN)
· NPI assigned 07/19/2007
$496K
Total Medicaid Paid
1,169
Beneficiary Records
Provider Details
| Authorized Official | BURNELL, DAVID (PRESIDENT) |
| NPI Enumeration Date | 07/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
19,825 |
$496K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
11,220 |
500 |
$319K |
| T2003 |
Non-emergency transportation; encounter/trip |
8,512 |
603 |
$176K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
93 |
66 |
$2K |